Exhibit A - Contract Data Requirements List - Production Items.pdf

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Holston Army Ammunition Plant - Solicitation
Solicitation number
W52P1J-19-R-0142
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W52P1J19R0142-0008.pdf PDF
W52P1J19R0142-0007.pdf PDF
W52P1J19R0142-0006.pdf PDF
W52P1J19R0142-0005.pdf PDF
HSAAP Final Solicitation QA No_6.pdf PDF
W52P1J19R0142-0004.pdf PDF
HSAAP Final Solicitation QA No_5.pdf PDF
Attachment 0022 - Price Matrix - Production - 29NOV22.xlsx XLSX spreadsheet
Attachment 0025 - Price Matrix - Production (Indemnified) - 29NOV22.xlsx XLSX spreadsheet
W52P1J19R0142-0003.pdf PDF
Attachment 0007 - PWS 7 - Fire and Emergency Services - 22NOV22.pdf PDF
Attachment 0025 - Price Matrix - Production (Indemnified) - 22NOV22.xlsx XLSX spreadsheet
W52P1J19R0142-0002.pdf PDF
Attachment 0022 - Price Matrix - Production - 22NOV22.xlsx XLSX spreadsheet
HSAAP Final Solicitation QA No_4 - 16Nov2022.pdf PDF
HSAAP Final Solicitation QA No_3 - 15Nov2022.pdf PDF
HSAAP Final Solicitation QA no.2 - 27OCT2022.pdf PDF
W52P1J19R0142-0001.pdf PDF
HSAAP QA Final Solicitation - 07OCT22.pdf PDF
Attachment 0026 - Small Business Participation Commitment Document.pdf PDF
Attachment 0025 - Price Matrix - Production - (Indemnified).xlsx XLSX spreadsheet
Attachment 0014 - PWS 14 - Suport of Onsite Government Staff_Natural and Cultural Resources - 27SEP22.pdf PDF
Attachment 0001 - PWS 1 - Facility Plans Strategies and Analyses - 27SEP22.pdf PDF
Attachment 0032 - Example Order HSAAP.pdf PDF
Attachment 0011 - PWS 11 - Transition and Start-up - 27SEP22.pdf PDF
Attachment 0004 - PWS 4 - Safety - 27SEP22.pdf PDF
Attachment 0028 - Azimuth Non-Disclosure Agreement.pdf PDF
Attachment 0031 - IP Certification.pdf PDF
Attachment 0029 - Contract Data Requirements List Guidance.pdf PDF
Attachment 0010 - PWS 10 - Occupational Health Program - 27SEP22.pdf PDF
Attachment 0022 - Price Matrix - Production.xlsx XLSX spreadsheet
Attachment 0002 - PWS 2 - Government Property Management - 27SEP22.pdf PDF
Attachment 0017 - Sample OPSEC Plan.pdf PDF
Exhibit B - Contract Data Requirements List - PWS.pdf PDF
Attachment 0020 - Hazardous Material Classification Specification.pdf PDF
Attachment 0012 - PWS 12 - Contract Transition - 27SEP22.pdf PDF
Attachment 0016 - PWS 16 - Armament Retooling and Manufacturing Support - 27SEP22.pdf PDF
Attachment 0024 - Price Matrix Summary Evaluation Matrix.xlsx XLSX spreadsheet
Attachment 0007 - PWS 7 - Fire and Emergency Services - 27SEP22.pdf PDF
Attachment 0027 - Past Performance Questionnaire.pdf PDF
Attachment 0030 - EPA Adjustment Factors.pdf PDF
Attachment 0023 - Price Matrix - PWS.xlsx XLSX spreadsheet
Attachment 0013 - PWS 13 - Facility Ops_Production Reporting_Production Support - 27SEP22.pdf PDF
W52P1J-19-R-0142.pdf PDF
Attachment 0015 - PWS 15 - Material Management - 27SEP22.pdf PDF
Attachment 0006 - PWS 6 - Utilities and Energy - 27SEP22.pdf PDF
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G. PREPARED BY

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

16. REMARKS

C. CATEGORY:

TDP ________ TM _______ OTHER _________________________

Form Approved OMB No. 0704-0188

15. TOTAL

PREVIOUS EDITION MAY BE USED.DD FORM 1423-1, AUG 96 (EG) Page ____ of ____ Pages

A. CONTRACT LINE ITEM NO. B. EXHIBIT

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

H. DATE J. DATEI. APPROVED BY

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

Designed using Perform Pro, WHS/DIOR, Aug 96

Exhibit A September 27, 2022

(1 Data Item)

16. REMARKS

C. CATEGORY:

TDP ________ TM _______ OTHER _________________________

Form Approved OMB No. 0704-0188

15. TOTAL

PREVIOUS EDITION MAY BE USED.DD FORM 1423-1, AUG 96 (EG) Page ____ of ____ Pages

A. CONTRACT LINE ITEM NO. B. EXHIBIT

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

H. DATE J. DATEI. APPROVED BY

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

Designed using Perform Pro, WHS/DIOR, Aug 96

(1 Data Item)

16. REMARKS

C. CATEGORY:

TDP ________ TM _______ OTHER _________________________

Form Approved OMB No. 0704-0188

15. TOTAL

PREVIOUS EDITION MAY BE USED.DD FORM 1423-1, AUG 96 (EG) Page ____ of ____ Pages

A. CONTRACT LINE ITEM NO. B. EXHIBIT

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

H. DATE J. DATEI. APPROVED BY

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

(1 Data Item)

16. REMARKS

C. CATEGORY:

TDP ________ TM _______ OTHER _________________________

Form Approved OMB No. 0704-0188

15. TOTAL

PREVIOUS EDITION MAY BE USED.DD FORM 1423-1, AUG 96 (EG) Page ____ of ____ Pages

A. CONTRACT LINE ITEM NO. B. EXHIBIT

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

H. DATE J. DATEI. APPROVED BY

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

(1 Data Item)

16. REMARKS

C. CATEGORY:

TDP ________ TM _______ OTHER _________________________

Form Approved OMB No. 0704-0188

15. TOTAL

PREVIOUS EDITION MAY BE USED.DD FORM 1423-1, AUG 96 (EG) Page ____ of ____ Pages

A. CONTRACT LINE ITEM NO. B. EXHIBIT

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

H. DATE J. DATEI. APPROVED BY

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

(1 Data Item)

16. REMARKS

C. CATEGORY:

TDP ________ TM _______ OTHER _________________________

Form Approved OMB No. 0704-0188

15. TOTAL

PREVIOUS EDITION MAY BE USED.DD FORM 1423-1, AUG 96 (EG) Page ____ of ____ Pages

A. CONTRACT LINE ITEM NO. B. EXHIBIT

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

H. DATE J. DATEI. APPROVED BY

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

(1 Data Item)

16. REMARKS

C. CATEGORY:

TDP ________ TM _______ OTHER _________________________

Form Approved OMB No. 0704-0188

15. TOTAL

PREVIOUS EDITION MAY BE USED.DD FORM 1423-1, AUG 96 (EG) Page ____ of ____ Pages

A. CONTRACT LINE ITEM NO. B. EXHIBIT

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

H. DATE J. DATEI. APPROVED BY

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

(1 Data Item)

16. REMARKS

C. CATEGORY:

TDP ________ TM _______ OTHER _________________________

Form Approved OMB No. 0704-0188

15. TOTAL

PREVIOUS EDITION MAY BE USED.DD FORM 1423-1, AUG 96 (EG) Page ____ of ____ Pages

A. CONTRACT LINE ITEM NO. B. EXHIBIT

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

H. DATE J. DATEI. APPROVED BY

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

QA CDRL Distribution block - IPT members list Distribution with specific contact information will be provided at Post Award

PQM – Product Quality Manager

PCO – Procuring Contracting Officer

CS – Contract Specialist

QAR – Quality Assurance Representative

PO or PM – Project Officer or Project Manager

AQE – Army Quality Engineer

APO - Army Lead Engineer (Project Officer)

DA – Design Agent (NAVSEA)

PL – Project Lead (NAVAIR)

NQA – Navy Quality Assurance

ME – Material Engineer (NAVAIR)

PE – Program Engineer (Air Force)

AEA – Acquisition Engineering Agent (NAVSEA) GE – Gage Engineer

Production Manager, JMC - Production Manager, Joint Munitions Command

MCEA – Marine Corp Engineering Activity

CDM – Configuration/Data Management (NAVAIR)

WARP - Worldwide Ammunition-Data Repository Program

SAFE - Safe Access File Exchange

FOR GOVERNMENT PERSONNEL FOR THE CONTRACTOR

Item A. Self-explanatory.

Item B. Self-explanatory.

Item C. Mark (X) appropriate category: TDP - Technical Data Package; TM -

Technical Manual; Other - other category of data, such as

"Provisioning,""Configuration Management," etc.

Item D. Enter name of system/item being acquired that data will support.

Item E. Self-explanatory (to be filled in after contract award). Item F. Self-explanatory (to be filled in after contract award). Item G. Signature of preparer of

CDRL.

Item H. Date CDRL was prepared.

Item I. Signature of CDRL approval authority.

Item J. Date CDRL was approved.

Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.

Item 2. Enter title as it appears on data acquisition document cited in Item 4.

Item 3. Enter subtitle of data item for further definition of data item (optional entry).

Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.

Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).

Item 6. Enter technical office responsible for ensuring adequacy of the data item.

Item 7. Specify requirement for inspection/acceptance of the data item by the

Government.

Item 8. Specify requirement for approval of a draft before preparation of the final data item.

Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).

Item 10. Specify number of times data items are to be delivered.

Item 11. Specify as-of date of data item, when applicable.

Item 12. Specify when first submittal is required.

Item 13. Specify when subsequent submittals are required, when applicable.

Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.

Item 15. Enter total number of draft/final copies to be delivered.

Item 16. Use for additional/clarifying information for Items 1 through 15. Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items

12 and 13; Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item.

Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data. These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required.

The estimated data prices shall not include any amount for rights in data. The

Government's right to use the data shall be governed by the pertinent provisions of the contract.

DD FORM 1423 (BACK)

Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the

Government.

b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.

a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form

1423.

INSTRUCTIONS FOR COMPLETING DD FORM 1423

Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form

1423.

Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.

d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the

Government is minimal.

Estimated Price - Group IV items should normally be shown on the DD

Form 1423 at no cost.

Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the

Government.

c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.

of

Distro List
Instructions
number:
TDP:
TM:
E CONTRACTPR NO:
F CONTRACTOR:
17:
18:
Draft15 TOTAL: 0
Repro15 TOTAL: 0
A0(CDRL#) SPC:
SPC OTHER: MGMT
SPC CDRL #: A002
SPC DID: DI-MGMT-81987 (Current Revision)
SPC DATA Item: Statistical Process Control (SPC)
SPC Subtitle: N/A
SPC Submission: See BLK 16
SPC N/A: N/A
SPC Sub: ASREQ
SPC Remarks: BLK 12: The general plan shall be submitted no later than 110 calendar days prior to the first article test (FAT), if FAT is required, or prior to the initiation of production. The detailed plan shall be submitted no later than 60 calendar days prior to the first article test (FAT), if FAT is required, or prior to the initiation of production. The Government shall provide response within 30 calendar days of initial submission. Approval is required prior to FAT, if FAT is required, or prior to initiation of production. Disposition will be provided by the Procuring Contracting Officer (PCO).

BLK 13: If further revisions are necessary, the contractor shall have 15 calendar days to provide revisions and the Government shall review and provide disposition within 15 calendar days of receipt.

BLK 14: Submit via email or SAFE https://safe.apps.mil/

When sending by email, the email subject line shall include the Data Item No., Title of Data Item and Subtitle. This information is found in Blocks 1, 2 and 3 of the CDRL. Specific email addresses for the distribution list will be provided after contract award.

BLK D: This CDRL requirement is applicable to each of the following production items: Comp A-3, Comp A-4, Comp A-5 Class 1, Comp B Type 1 Grade A, Comp B-4, Composition C-4, Composition D-2, CXM-3, CXM-7, CXM-9, CXM-10 Type 1, CXM-10 Type 2, CXM-10 Type 3, CXM-11, CXM-AF-5, CXM-AF-7, Cyclotol, DMDNB, HMX 80S, HMX Grade B Class 1, HMX Grade B Class 2, HMX Grade B Class 3, HMX Grade B Class 5, IMX-101, IMX-104, LX-14-0, LX 17, NTO Coarse, NTO Fine, Octol (Type 1, 72/25), PAX-2A Type 1, PAX-2A Type II, PAX-3 Type III, PAX-48, PBX-9501, PBX-9502, PBXN-5 Type 1 Class 3, PBXN-5 Type 2 Class 3, PBXN-7 Type 1 Class 2, PBXN-7 Type 2, PBXN-9, PBXN-10 Type 1, PBXN-10 Type II, PBXN-11 Class 1, PBXN-12 Type 1, PBXN-12 Type II, RDX Type II Class 1, RDX Type II Class 3, RDX Type II Class 5, RDX Type II Class 7, TATB Type I Class 2, TATB Type II Dry, TATB Type III Class 1, TATB Type III Class 2, and CXM-12.

MSE OTHER: QCIC
MSE CDRL #: A003
MSE TITLE OF DATA ITEM: Measurement System Evaluation (MSE) – Measurement and Inspection Equipment System Design Documentation for Acce
MSE SUBTITLE: Measurement System Evaluation/Acceptance Inspection Equipment (MSE/AIE)
MSE Authority: DI-QCIC-81960 (Current Revision)
MSE CONTRACT REFERENCE: Section: E
MSE DD 250: LT
MSE FREQUENCY: ONE/R
MSE DATE OF FIRST SUBMISSION: See BLK 16
MSE DATE OF SUBSEQUENT SUBMISSION: ASREQ
QPP Remarks: BLK 12: Quality Program Plan (QPP) shall be submitted no later than 60 calendar days prior to the first article test (FAT) , if FAT is required, or prior to the initiation of production. The Government shall provide response within 30 calendar days of initial submission. If further revisions are necessary, the Contractor shall have 15 calendar days to provide revisions and the Government shall provide response within 15 calendar days. Approval is required prior to first article test (FAT), if FAT is required, or prior to initiation of production. Disposition will be provided by the Procuring Contracting Officer (PCO).

BLK 13: Submit updates/revisions for review/approval prior to implementation.

BLK 14: Submit via email or SAFE https://safe.apps.mil/

When sending by email, the email subject line shall include the Data Item No., Title of Data Item and Subtitle. This information is found in Blocks 1, 2 and 3 of the CDRL. Specific email addresses for the distribution list will be provided after contract award.

BLK D: This CDRL requirement is applicable to each of the following production items: Comp A-3, Comp A-4, Comp A-5 Class 1, Comp B Type 1 Grade A, Comp B-4, Composition C-4, Composition D-2, CXM-3, CXM-7, CXM-9, CXM-10 Type 1, CXM-10 Type 2, CXM-10 Type 3, CXM-11, CXM-AF-5, CXM-AF-7, Cyclotol, DMDNB, HMX 80S, HMX Grade B Class 1, HMX Grade B Class 2, HMX Grade B Class 3, HMX Grade B Class 5, IMX-101, IMX-104, LX-14-0, LX 17, NTO Coarse, NTO Fine, Octol (Type 1, 72/25), PAX-2A Type 1, PAX-2A Type II, PAX-3 Type III, PAX-48, PBX-9501, PBX-9502, PBXN-5 Type 1 Class 3, PBXN-5 Type 2 Class 3, PBXN-7 Type 1 Class 2, PBXN-7 Type 2, PBXN-9, PBXN-10 Type 1, PBXN-10 Type II, PBXN-11 Class 1, PBXN-12 Type 1, PBXN-12 Type II, RDX Type II Class 1, RDX Type II Class 3, RDX Type II Class 5, RDX Type II Class 7, TATB Type I Class 2, TATB Type II Dry, TATB Type III Class 1, TATB Type III Class 2, and CXM-12.

QPP OTHER: MISC
QPP SUBTITLE: N/A
QPP TITLE OF DATA ITEM: Quality Program Plan (QPP)
QPP Authority: DI-QCIC-81722 (Current Revision)
QPP CONTRACT REFERENCE: Section: E
QPP REQUIRING OFFICE: AMJM-QA
QPP DD 250: LT
QPP App Code: A
QPP 9 DIST STATEMENT REQUIRED: B
QPP FREQUENCY: ONE/R
QPP DATE OF FIRST SUBMISSION: See BLK 16
QPP DATE OF SUBSEQUENT SUBMISSION: ASREQ
QPP RegRow1: 1
QPP RegRow2: 1
QPP RegRow3: 1
QPP RegRow4:
QPP RegRow5:
SPC FREQUENCY: ONE/R
SPC DD 250: LT
SPC App Code: A
SPC 9 DIST STATEMENT REQUIRED: B
SPC RegRow1: 1
SPC RegRow2: 1
SPC RegRow3: 1
SPC RegRow4:
SPC RegRow5:
SPC Reg15 TOTAL: 3
MSE Remarks: BLK 12: The Contractor shall be submitted no later than 105 calendar days prior to the first article test (FAT), if FAT is required, or prior to the initiation of production, and/or all acceptance of product under the contract. The PCO will provide disposition within (45) calendar days of final AIE package receipt.

BLK 13: If further revisions are necessary, the Contractor shall have (30) calendar days to generate them and the Government shall have (30) calendar days to review and respond to them. The approved AIE shall be available for First Article Testing (if First Article Testing is required), production, and/or all acceptance of product under the contract. If Contractor revises a previously Government accepted AIE for this contract, the revised AIE must be submitted to the Government for review and approval. Approval must be granted before AIE is used for acceptance of product. The Government will respond within (30) calendar days.

The Contractor shall notify the responsible Government technical agency a minimum of (30) calendar days prior to acceptance (prove out) testing for AAIE.

BLK 14: Submit via email or SAFE https://safe.apps.mil/

When sending by email, the email subject line shall include the Data Item No., Title of Data Item and Subtitle. This information is found in Blocks 1, 2 and 3 of the CDRL. Specific email addresses for the distribution list will be provided after contract award.

An MSE Review Guide is available to assist Contractors on the ARDEC Public Website (http://www.ardec.army.mil/organizations/QESA/) in the application of the MSE Clause. The MSE Review Guide's content, in its entirety, is provided solely for REFERENCE and GUIDANCE PURPOSES ONLY- it is not, nor is it intended to be, contractually binding. Accordingly, the information contained within the MSE Review Guide is expressly not, nor shall it be construed to be, incorporated either directly or by reference into the terms of the MSE clause itself nor into the terms and conditions of any underlying contract which contains the MSE clause.

BLK D: This CDRL requirement is applicable to each of the following production items: Comp A-3, Comp A-4, Comp A-5 Class 1, Comp B Type 1 Grade A, Comp B-4, Composition C-4, Composition D-2, CXM-3, CXM-7, CXM-9, CXM-10 Type 1, CXM-10 Type 2, CXM-10 Type 3, CXM-11, CXM-AF-5, CXM-AF-7, Cyclotol, DMDNB, HMX 80S, HMX Grade B Class 1, HMX Grade B Class 2, HMX Grade B Class 3, HMX Grade B Class 5, IMX-101, IMX-104, LX-14-0, LX 17, NTO Coarse, NTO Fine, Octol (Type 1, 72/25), PAX-2A Type 1, PAX-2A Type II, PAX-3 Type III, PAX-48, PBX-9501, PBX-9502, PBXN-5 Type 1 Class 3, PBXN-5 Type 2 Class 3, PBXN-7 Type 1 Class 2, PBXN-7 Type 2, PBXN-9, PBXN-10 Type 1, PBXN-10 Type II, PBXN-11 Class 1, PBXN-12 Type 1, PBXN-12 Type II, RDX Type II Class 1, RDX Type II Class 3, RDX Type II Class 5, RDX Type II Class 7, TATB Type I Class 2, TATB Type II Dry, TATB Type III Class 1, TATB Type III Class 2, and CXM-12.

MSE RegRow1: 1
MSE RegRow2: 1
MSE RegRow3: 1
MSE RegRow4:
MSE RegRow5:
MSE Reg15 TOTAL: 3
FATP OTHER: NDTI
FATP CDRL #: A004
FATP TITLE OF DATA ITEM: First Article Qualification Test Plan and Procedure
FATP SUBTITLE: N/A
FATP Authority: DI-NDTI-81307 (Current Revision)
FATP CONTRACT REFERENCE: Section: E
FATP DD 250: LT
FATP DIST STATEMENT REQUIRED: B
FATP FREQUENCY: ASREQ
FATP DATE OF FIRST SUBMISSION: See BLK 16
FATP App Code: A
FATP AS OF DATE: N/A
FATP DATE OF SUBSEQUENT SUBMISSION: ASREQ
FATP RegRow1: 1
FATP RegRow2: 1
FATP Remarks: BLK 12: First Article Test Plans shall be submitted no later than 60 calendar days prior to the first article test (FAT), if FAT is required. Government shall provide response within 30 calendar days of initial submission. If further revisions are necessary, the Contractor shall have 15 calendar days to provide revisions and the Government shall provide response within 15 calendar days. Disposition will be provided by the procuring contracting officer (PCO). Approval of the plan shall be obtained prior to FAT.

BLK 14: Submit via email or SAFE https://safe.apps.mil/

When sending by email, the email subject line shall include the Data Item No., Title of Data Item and Subtitle. This information is found in Blocks 1, 2 and 3 of the CDRL. Specific email addresses for the distribution list will be provided after contract award.

BLK D: This CDRL requirement is applicable to each of the following production items: Comp A-3, Comp A-4, Comp A-5 Class 1, Comp B Type 1 Grade A, Comp B-4, Composition C-4, Composition D-2, CXM-3, CXM-7, CXM-9, CXM-10 Type 1, CXM-10 Type 2, CXM-10 Type 3, CXM-11, CXM-AF-5, CXM-AF-7, Cyclotol, DMDNB, HMX 80S, HMX Grade B Class 1, HMX Grade B Class 2, HMX Grade B Class 3, HMX Grade B Class 5, IMX-101, IMX-104, LX-14-0, LX 17, NTO Coarse, NTO Fine, Octol (Type 1, 72/25), PAX-2A Type 1, PAX-2A Type II, PAX-3 Type III, PAX-48, PBX-9501, PBX-9502, PBXN-5 Type 1 Class 3, PBXN-5 Type 2 Class 3, PBXN-7 Type 1 Class 2, PBXN-7 Type 2, PBXN-9, PBXN-10 Type 1, PBXN-10 Type II, PBXN-11 Class 1, PBXN-12 Type 1, PBXN-12 Type II, RDX Type II Class 1, RDX Type II Class 3, RDX Type II Class 5, RDX Type II Class 7, TATB Type I Class 2, TATB Type II Dry, TATB Type III Class 1, TATB Type III Class 2, and CXM-12.

FATP RegRow3: 1
FATP RegRow4:
FATP RegRow5:
FATP Reg15 TOTAL: 3
FATR OTHER: NDTI
FATR CDRL #: A005
FATR TITLE OF DATA ITEM: Test/Inspection Reports
FATR SUBTITLE: First Article Test Report (FATR)
FATR Authority: DI-NDTI-80809 (Current Revision)
FATR DD 250: XX
FATR DIST STATEMENT REQUIRED: B
FATR FREQUENCY: ASREQ
FATR DATE OF FIRST SUBMISSION: ASREQ
FATR App Code: A
FATR AS OF DATE: N/A
FATR DATE OF SUBSEQUENT SUBMISSION: ASREQ
FATR RegRow1: 1
FATR RegRow2: 1
FATR Remarks: BLK 12: The First Article Test report shall be submitted with QAR findings on DD Form 1222. The FATR shall be submitted as required by the contract and no later than 30 calendar days after completion of the FAT. The Government requires 30 calendar days for review. Disposition of the FAT report will be provided through the Procuring Contracting Officer. If further revisions are necessary, the Contractor shall have 15 calendar days to provide revisions and the Government shall provide response within 15 calendar days. PCO approval of the FATR shall be obtained prior to start of production.

BLK 14: Submit via email or SAFE https://safe.apps.mil/

When sending by email, the email subject line shall include the Data Item No., Title of Data Item and Subtitle. This information is found in Blocks 1, 2 and 3 of the CDRL. Specific email addresses for the distribution list will be provided after contract award.

BLK D: This CDRL requirement is applicable to each of the following production items: Comp A-3, Comp A-4, Comp A-5 Class 1, Comp B Type 1 Grade A, Comp B-4, Composition C-4, Composition D-2, CXM-3, CXM-7, CXM-9, CXM-10 Type 1, CXM-10 Type 2, CXM-10 Type 3, CXM-11, CXM-AF-5, CXM-AF-7, Cyclotol, DMDNB, HMX 80S, HMX Grade B Class 1, HMX Grade B Class 2, HMX Grade B Class 3, HMX Grade B Class 5, IMX-101, IMX-104, LX-14-0, LX 17, NTO Coarse, NTO Fine, Octol (Type 1, 72/25), PAX-2A Type 1, PAX-2A Type II, PAX-3 Type III, PAX-48, PBX-9501, PBX-9502, PBXN-5 Type 1 Class 3, PBXN-5 Type 2 Class 3, PBXN-7 Type 1 Class 2, PBXN-7 Type 2, PBXN-9, PBXN-10 Type 1, PBXN-10 Type II, PBXN-11 Class 1, PBXN-12 Type 1, PBXN-12 Type II, RDX Type II Class 1, RDX Type II Class 3, RDX Type II Class 5, RDX Type II Class 7, TATB Type I Class 2, TATB Type II Dry, TATB Type III Class 1, TATB Type III Class 2, and CXM-12.

FATR RegRow3: 1
FATR RegRow4:
FATR RegRow5:
FATR Reg15 TOTAL: 3
LA OTHER: MGMT
LA CDRL #: A007
LA Authority: DI-MGMT-81978 (Current Revision)
LA TITLE OF DATA ITEM: Acceptance Description Sheets
LA SUBTITLE: Loading Authorizations and Description Sheets
LA CONTRACT REFERENCE: Section: E
LA 6 REQUIRING OFFICE: AMJM-QA
LA DD 250: NO
LA DIST STATEMENT REQUIRED: B
LA App Code: A*
LA AS OF DATE: N/A
LA DATE OF SUBSEQUENT SUBMISSION: ASREQ
LA RegRow1: 1
LA RegRow2: 1
LA Remarks: BLK 12: Loading authorizations, Propellant description sheets and/or description sheets for chemicals and explosives shall be submitted for each lot or batch processed and shall be loaded into WARP at the time of acceptance.

BLK 14: Electronic submissions are made by accessing the Worldwide Ammunition Data Card Repository Program (WARP) housing the Description Sheets and Loading Authorizations modules which are located on the Munitions History Program (MHP) website at https://mhpwarp.redstone.army.mil/

A hard copy of the description sheet shall be included with each lot shipment.

This requirement is in addition to the distribution requirements called out in the specification and contract.

*Advisory note: The first energetic description sheet submitted in the WARP system will undergo a Government review.

BLK D: This CDRL requirement is applicable to each of the following production items: Comp A-3, Comp A-4, Comp A-5 Class 1, Comp B Type 1 Grade A, Comp B-4, Composition C-4, Composition D-2, CXM-3, CXM-7, CXM-9, CXM-10 Type 1, CXM-10 Type 2, CXM-10 Type 3, CXM-11, CXM-AF-5, CXM-AF-7, Cyclotol, DMDNB, HMX 80S, HMX Grade B Class 1, HMX Grade B Class 2, HMX Grade B Class 3, HMX Grade B Class 5, IMX-101, IMX-104, LX-14-0, LX 17, NTO Coarse, NTO Fine, Octol (Type 1, 72/25), PAX-2A Type 1, PAX-2A Type II, PAX-3 Type III, PAX-48, PBX-9501, PBX-9502, PBXN-5 Type 1 Class 3, PBXN-5 Type 2 Class 3, PBXN-7 Type 1 Class 2, PBXN-7 Type 2, PBXN-9, PBXN-10 Type 1, PBXN-10 Type II, PBXN-11 Class 1, PBXN-12 Type 1, PBXN-12 Type II, RDX Type II Class 1, RDX Type II Class 3, RDX Type II Class 5, RDX Type II Class 7, TATB Type I Class 2, TATB Type II Dry, TATB Type III Class 1, TATB Type III Class 2, and CXM-12.

LA RegRow3: 1
LA RegRow4:
LA Reg15 TOTAL: 3
MSE System: See Block 16
9 MSE DIST STATEMENT REQUIRED: B
MSE App Code: A
11 MSE AS OF DATE: N/A
6 MSE REQUIRING OFFICE: AMJM-QA
QPP(CDRL#):
QPP System: See Block 16
QPP DID: A001
11 QPP AS OF DATE: N/A
QPP Exhibit:
SPC System: See Block 16
SPC Exhibit:
F SPC CONTRACTOR:
5 SPC CONTRACT REFERENCE: Section: E
6 SPC REQUIRING OFFICE: AMJM-QA
A MSE 0(CDRL#):
MSE Exhibit:
E MSE CONTRACTPR NO:
F MSE CONTRACTOR:
A FATP 0(CDRL#):
FATP Exhibit:
FATP System: See Block 16
E FATP CONTRACTPR NO:
F FATP CONTRACTOR:
6 FATP REQUIRING OFFICE: AMJM-QA
A FATR 0(CDRL#):
FATR Exhibit:
FATR System: See Block 16
E FATR CONTRACTPR NO:
F FATR CONTRACTOR:
5 FATR CONTRACT REFERENCE: Section: E
6 FATR REQUIRING OFFICE: AMJM-QA
A0 LA (CDRL#):
LA Exhibit:
LA System: See Block 16
E LA CONTRACTPR NO:
F LA CONTRACTOR:
10 LA FREQUENCY: ASREQ
12 LA DATE OF FIRST SUBMISSION: ASREQ
DATE:
QPP number:
SPC number:
MSE number:
A DATE: 27SEP2022
FATP number:
FATR number:
QPP Reg15 TOTAL: 3
QPP DraftRow1: 0
QPP DraftRow2: 0
QPP DraftRow3: 0
QPP DraftRow4:
QPP DraftRow5:
QPP ReproRow1: 0
QPP ReproRow2: 0
QPP ReproRow3: 0
QPP ReproRow4:
QPP ReproRow5:
SPC DraftRow1: 0
SPC DraftRow2: 0
SPC DraftRow3: 0
SPC DraftRow4:
SPC DraftRow5:
SPC ReproRow1: 0
SPC ReproRow2: 0
SPC ReproRow3: 0
SPC ReproRow4:
SPC ReproRow5:
MSE DraftRow1: 0
MSE DraftRow2: 0
MSE DraftRow3: 0
MSE DraftRow4:
MSE DraftRow5:
MSE ReproRow1: 0
MSE ReproRow2: 0
MSE ReproRow3: 0
MSE ReproRow4:
MSE ReproRow5:
FATP DraftRow1: 0
FATP DraftRow2: 0
FATP DraftRow3: 0
FATP DraftRow4:
FATP DraftRow5:
FATP ReproRow1: 0
FATP ReproRow2: 0
FATP ReproRow3: 0
FATP ReproRow4:
FATP ReproRow5:
FATR DraftRow1: 0
FATR DraftRow2: 0
FATR DraftRow3: 0
FATR DraftRow4:
FATR DraftRow5:
FATR ReproRow1: 0
FATR ReproRow2: 0
FATR ReproRow3: 0
FATR ReproRow4:
FATR ReproRow5:
LA Addressee 3: PO
LA DraftRow1: 0
LA DraftRow2: 0
LA DraftRow3: 0
LA DraftRow4:
LA ReproRow1: 0
LA ReproRow2: 0
LA ReproRow3: 0
LA ReproRow4:
QPP Addressee 1: PCO
QPP Addressee 2: PQM
QPP Addressee 3: PO
QPP Addressee 4:
QPP Addressee 5:
SPC Addressee 2: PQM
SPC Addressee 3: PO
SPC Addressee 4:
SPC Addressee 5:
SPC Addressee 6:
SPC Addressee 1: PCO
SPC Addressee 7:
SPC Addressee 8:
SPC DraftRow6:
SPC DraftRow7:
SPC DraftRow8:
SPC RegRow6:
SPC RegRow7:
SPC RegRow8:
SPC ReproRow6:
SPC ReproRow7:
SPC ReproRow8:
QPP Addressee 6:
QPP Addressee 7:
QPP Addressee 8:
QPP DraftRow6:
QPP DraftRow7:
QPP DraftRow8:
QPP RegRow6:
QPP RegRow7:
QPP RegRow8:
QPP ReproRow6:
QPP ReproRow7:
QPP ReproRow8:
MSE Addressee 1: PCO
MSE Addressee 2: PQM
MSE Addressee 3: PO
MSE Addressee 4:
MSE Addressee 5:
MSE Addressee 6:
MSE Addressee 7:
MSE Addressee 8:
MSE DraftRow6:
MSE DraftRow7:
MSE DraftRow8:
MSE RegRow6:
MSE RegRow7:
MSE RegRow8:
MSE ReproRow6:
MSE ReproRow7:
MSE ReproRow8:
FATP Addressee 1: PCO
FATP Addressee 2: PQM
FATP Addressee 3: PO
FATP Addressee 4:
FATP Addressee 5:
FATP Addressee 6:
FATP Addressee 7:
FATP Addressee 8:
FATP DraftRow6:
FATP DraftRow7:
FATP DraftRow8:
FATP RegRow6:
FATP RegRow7:
FATP RegRow8:
FATP ReproRow6:
FATP ReproRow7:
FATP ReproRow8:
FATR Addressee 1: PCO
FATR Addressee 2: PQM
FATR Addressee 3: PO
FATR Addressee 4:
FATR Addressee 5:
FATR Addressee 6:
FATR Addressee 7:
FATR Addressee 8:
FATR DraftRow6:
FATR DraftRow7:
FATR DraftRow8:
FATR RegRow6:
FATR RegRow7:
FATR RegRow8:
FATR ReproRow6:
FATR ReproRow7:
FATR ReproRow8:
LA Addressee 2: PQM
LA Addressee 4:
LA Addressee 5:
LA Addressee 6:
LA Addressee 7:
LA Addressee 1: PCO
LA Addressee 8:
LA DraftRow5:
LA DraftRow6:
LA DraftRow7:
LA DraftRow8:
LA RegRow5:
LA RegRow6:
LA RegRow7:
LA RegRow8:
LA ReproRow5:
LA ReproRow6:
LA ReproRow7:
LA ReproRow8:
ADC OTHER: MISC
ADC System: See Block 16
ADC CDRL #: A006
ADC Title: Ammunition Data Card (ADC)
ADC Subtitle: Data Input
ADC DID: DI-MISC-80043 (Current Revision)
ADC Contract Reference: Section: C, MIL-STD-1168
6 ADC REQUIRING OFFICE: AMJM-QA
ADC DD250: XX
9 ADC DIST STATEMENT REQUIRED: B
ADC Freq: ASREQ
ADC Submission: ASREQ
ADC App Code: A
ADC second Sub: ASREQ
ADC Add 1: PCO
ADC DraftRow1: 0
ADC RegRow1: 1
ADC ReproRow1: 0
ADC Add 2: PQM
ADC DraftRow2: 0
ADC RegRow2: 1
ADC ReproRow2: 0
ADC Remarks: BLK 12: Sample ADC shall be submitted into the Munitions History Program (MHP) system and approved prior to First Article Testing (FAT) or initiation of production if FAT is not required. ADCs shall be prepared IAW MIL-STD-1168 by accessing the data repository system WARP on the Munitions History Program website at https://mhpwarp.redstone.army.mil/

BLK 10/13: An ADC shall be submitted with each lot.

Hard copy ADC provided with lot shipments shall be generated from the WARP and signed/dated by the Government Agency Responsible for Acceptance (GARA).

When ballistic test are required, one hard copy ADC generated from the WARP and signed/dated by the GARA shall be sent to the Proving Ground with sample shipment, plus an additional signed/dated, hard copy provided to the Proving Ground by mail.

If the critical characteristic requirement is in the contract, the critical characteristic information fields in WARP for the ADC shall be completed for each lot.

BLK D: This CDRL requirement is applicable to each of the following production items: Comp A-3, Comp A-4, Comp A-5 Class 1, Comp B Type 1 Grade A, Comp B-4, Composition C-4, Composition D-2, CXM-3, CXM-7, CXM-9, CXM-10 Type 1, CXM-10 Type 2, CXM-10 Type 3, CXM-11, CXM-AF-5, CXM-AF-7, Cyclotol, DMDNB, HMX 80S, HMX Grade B Class 1, HMX Grade B Class 2, HMX Grade B Class 3, HMX Grade B Class 5, IMX-101, IMX-104, LX-14-0, LX 17, NTO Coarse, NTO Fine, Octol (Type 1, 72/25), PAX-2A Type 1, PAX-2A Type II, PAX-3 Type III, PAX-48, PBX-9501, PBX-9502, PBXN-5 Type 1 Class 3, PBXN-5 Type 2 Class 3, PBXN-7 Type 1 Class 2, PBXN-7 Type 2, PBXN-9, PBXN-10 Type 1, PBXN-10 Type II, PBXN-11 Class 1, PBXN-12 Type 1, PBXN-12 Type II, RDX Type II Class 1, RDX Type II Class 3, RDX Type II Class 5, RDX Type II Class 7, TATB Type I Class 2, TATB Type II Dry, TATB Type III Class 1, TATB Type III Class 2, and CXM-12.

ADC Add 3: PO
ADC DraftRow3: 0
ADC RegRow3: 1
ADC ReproRow3: 0
ADC Add 4:
ADC DraftRow4:
ADC RegRow4:
ADC ReproRow4:
ADC Add 5:
ADC DraftRow5:
ADC RegRow5:
ADC ReproRow5:
ADC Add 6:
ADC DraftRow6:
ADC RegRow6:
ADC ReproRow6:
ADC Add 7:
ADC DraftRow7:
ADC RegRow7:
ADC ReproRow7:
ADC Add 8:
ADC DraftRow8:
ADC RegRow8:
ADC ReproRow8:
ADC Reg15 TOTAL: 3
ADC number:
A0(CDRL#):
Exhibit:
11 ADC AS OF DATE: N/A
2D (CDRL#):
2D Exhibit:
2D OTHER: MISC
2D System: See Block 16
2D DID: A008
2D TITLE OF DATA ITEM: Management Plan
2D SUBTITLE: 2-D Bar Code Label Verification
2D Authority: DI-MGMT-80004 (Current Revision)
2D CONTRACT REFERENCE: Section: C & D
2D REQUIRING OFFICE: AMJM-QA
2D DD 250: LT
2D 9 DIST STATEMENT REQUIRED: N/A
2D FREQUENCY: ONE/R
2D DATE OF FIRST SUBMISSION: ASREQ
2D App Code: A
11 2D AS OF DATE: N/A
2D DATE OF SUBSEQUENT SUBMISSION: N/A
2D Addressee 1: PCO
2D DraftRow1: 0
2D RegRow1: 1
2D ReproRow1: 0
2D Addressee 2: PQM
2D DraftRow2: 0
2D RegRow2: 1
2D Remarks: 2-D Bar Codes shall be prepared IAW MIL-STD-129 and MIL-PRF-61002.

BLKS 12 & 14: Prior to formal submission of product to the Government for acceptance, a first time sample of the supplier's 2-D Bar Coding Label, comprising of two (2) each of the exterior pack label and two (2) each of the pallet label, shall be submitted and approved. A material certification (CoC) shall also be submitted that identifies the label being used conforms to the specifications of MIL-PRF-61002. 2-D Bar Code samples and label CoC shall be sent to: HQ, US ARMY JMC, 2695 Rodman Avenue, Rock Island, IL 61299

ATTN: AMJM-QAP

Within fifteen calendar days, the supplier will be notified electronically of the approval, conditional approval, or disapproval of the submitted 2-D Bar Code Label.

BLK D: This CDRL requirement is applicable to each of the following production items: Comp A-3, Comp A-4, Comp A-5 Class 1, Comp B Type 1 Grade A, Comp B-4, Composition C-4, Composition D-2, CXM-3, CXM-7, CXM-9, CXM-10 Type 1, CXM-10 Type 2, CXM-10 Type 3, CXM-11, CXM-AF-5, CXM-AF-7, Cyclotol, DMDNB, HMX 80S, HMX Grade B Class 1, HMX Grade B Class 2, HMX Grade B Class 3, HMX Grade B Class 5, IMX-101, IMX-104, LX-14-0, LX 17, NTO Coarse, NTO Fine, Octol (Type 1, 72/25), PAX-2A Type 1, PAX-2A Type II, PAX-3 Type III, PAX-48, PBX-9501, PBX-9502, PBXN-5 Type 1 Class 3, PBXN-5 Type 2 Class 3, PBXN-7 Type 1 Class 2, PBXN-7 Type 2, PBXN-9, PBXN-10 Type 1, PBXN-10 Type II, PBXN-11 Class 1, PBXN-12 Type 1, PBXN-12 Type II, RDX Type II Class 1, RDX Type II Class 3, RDX Type II Class 5, RDX Type II Class 7, TATB Type I Class 2, TATB Type II Dry, TATB Type III Class 1, TATB Type III Class 2, and CXM-12.

2D ReproRow2: 0
2D Addressee 3: PO
2D DraftRow3: 0
2D RegRow3: 1
2D ReproRow3: 0
2D Addressee 4:
2D DraftRow4:
2D RegRow4:
2D ReproRow4:
2D Addressee 5:
2D DraftRow5:
2D RegRow5:
2D ReproRow5:
2D Addressee 6:
2D DraftRow6:
2D RegRow6:
2D ReproRow6:
2D Addressee 7:
2D DraftRow7:
2D RegRow7:
2D ReproRow7:
2D Addressee 8:
2D DraftRow8:
2D RegRow8:
2D ReproRow8:
2D Reg15 TOTAL: 3
2D number:

File details come from the government source that posted it. Updated .